The Nest Birthing Services at Bangerghatta Road,Bangalore

Wednesday, June 24, 2009



The NEST birthing suites at Bannerghata Road Center at Wockhardt Hospitals,fulfills two big concerns during pregnancy and delivery,safety and comfort. Today's women juggles between her career demands and family’s needs. With more and more nuclear families on the rise, the support system that a woman earlier was used to is no longer there.

With increasing responsibilities at work besides managing home, she has barely has time to look after herself. A lot of questions that a pregnant woman looks forward remains unanswered. and is left to the hands of the caregiver . The Nest Birthing Services is an one stop destination for Women for the next nine months.

The Nest is a part of Wockhardt Hospitals Woman Care that derives its safety standards from Harvard Medical International ( HMI)

The” Nest Birthing center is backed by Wockhardt clinical specialties. with a wide choice of eminent obstetricians and gynecologists and specialties from other disciplines. Along with a team of highly trained nurses and paramedics our excellence in clinical care is complemented by the latest technology in terms of investigations, diagnosis and treatments. Our state of the art Neonatal Intensive Clinic Unit (NICU), blood bank and emergency service stand by as a guard against surprises in the last moment.

For nine months the Nest offers you superlative care in a homely and caring environment. Our ante –natal program prepares you and your spouse both physically and emotionally for the birth of your baby. Our (Labor Delivery Postpartum) LDRP and elegant birthing suites are designed to make your stay during your delivery memorable and pleasant. We emphasis on natural birthing and provide you support services like Lamaze and ante natal classes. We give you the option of comfortable natural birthing with painless delivery techniques. Pregnancy is something to look forward to at the “ Nest Birthing Center.


Wockhardt Hospitals “Nest TLC Package” (Tender Loving Care)For Pregnant Women


The baby in the womb goes through the same emotions as you do. The Nest TLC privilege package monitors your health and after your delivery, your babies health. This special TLC package performs all ante-natal tests, routine investigations and support services like Lamaze and yoga and of course plenty of Tender Loving and Care.

Details of the TLC Package for Pregnant Women

  • Gynecologists consultations from second trisemester onwards till delivery(12-14 consultations)
  • Pediatrician consultation for post delivery -3 visits ( 1 month to 3 months)
  • All standard lab tests from second trisemester (13th week ) upto delivery 92-4 times as per doctors recommendation.
  • Tetanus Injections (2-3 times ) s per doctors recommendation
  • The Lamaze classes ( on registration )
  • nte-Natal education
  • Physiotherapists counseling ( for C –Section)
  • Newborn screening tests
  • All requirements for the baby (diaper clothes, tie cloths etc are taken care by the hospital during the stay (3 days for normal and 5 days for C section )
  • Operation Theatre Charges
  • Consumables, disposables and medicines used during delivery
  • Antibiotics used for C Section
  • Diet/Dietician counseling
  • NST Charges
  • 24 hours nursing care

Extra Value Added Services Provided in the TLC Package

  • Welcome Kit
  • Wockhardt pregnancy Guide Book
  • Gift hamper at the time of discharge
  • Baby Album
  • Baby Name Book
  • Wockhardt Birth Certificate
  • Photo Frame with Photo
Lab tests included along with the TLC Package are
  • *CBC
  • VDRL
  • HBSAG
  • Urine Routine
  • Blood Sugar
  • HB
  • TSH
  • Blood Grouping
  • Platelet Count
  • HIV 1& 2
  • RBS
  • Post Prandial blood Sugar
  • OGCT ( if history of diabetes
  • TSH
  • New Born Screening Tests

Ultrasound Included are
  • NT Scan
  • Anomalies Scan
  • BPS Scan for bio- physical profile(3rd trisemester)
  • This Package does not Include
  • Any stay in the hospital beyond the delivery period package ( 3 days in case of normal delivery and 5 days in case of C-Section )
  • NICU or ICU stay
The Following are not a part of standard charges

Consumables over the limit
Cost of certain drugs and medicines used under special circumstances
Visit of consultants of other specialties like a urologist
Vaccine cost for the baby
Any additional physiotherapy sessions
Investigations, medication and treatments for any pre-existing diseases
Additional investigation lab tests in addition to the regular pregnancy tests in case of any complications
3D/4D Scan
Cost for epidural Analgesia
Triple Market tests

For consulatations and enquiries email us at enquiries@wockhardthospitas.net

Interventional Cardiologist at Mumbai: Dr Manjeet Juneja

Tuesday, June 23, 2009


Dr. Manjeet S. Juneja
Interventional Cardiologist
M.D. (General Medicine), D.M. (Cardiology), M.N.A.M.S
Fellow in Interventional Cardiology, Australia


Dr.Manjeet .S.Juneja has joined Wockhardt Hospitals, Mumbai after an extensive stint at the Prince Charles Hospital, Brisbane, Australia and various hospitals of Cardiac Care in India.

In Australia, Dr.Juneja was extensively trained in complex interventions including the use of rotablators and intra vascular ultrasound. Whilst in India and in Australia, he aggressively pursued the Primary Angioplasty program and had standardized a regimen for the use of intravenous Nicorandil in these patients to prevent no flow, slow reflow phenomenon.

He has vast experience in cardiac care and his area of interest is Adult Interventional Cardiology including primary angioplasties, complex interventions and balloon valvuloplasties.He has more than 25 publications in peer reviewed National and International journals and had served on the editorial board of Medicine Update 2002. He has participated in various stent trials including the RESOLUTE &ZOMAXX II and was involved in the early research on the use of Bivalirudin during percutaneous interventions in acute coronary syndrome.


Professional Qualifications and Fellowships:

(1990-1995) M.B.B.S - Seth G.S.Medical College and K.E.M. Hospital, Mumbai
(1995-1999) M.D. - Topiwala National Medical College and B.Y.L.Nair Hospital, Mumbai
(1999-2002) D.M. - Grant Medical College and Sir J.J.Group of Hospitals, Mumbai


Earlier Work of Dr Manjeet Juneja

  • Lecturer-Grant Medical College and K.E.M Hospital ,Mumbai(1990-1995)
  • Staff Cardiologist-Madras Medical Mission & Institute of Cardiovascular Diseases, Chennai(2004-2005)
  • Associate Consultant Cardiologist- Madras Medical Mission & Institute of Cardiovascular Diseases, Chennai(2005-2006)
  • Fellow in Interventional Cardiology-The Prince Charles Hospital,Brisbane,Australia(2006-2008)
  • Consultant Interventional Cardiologist-Bombay Hospital &Medical Research Centre, Mumbai(2008)

Papers, Publications and Awards:

  • Faculty and Chairperson. Euro PCR 08. “Call For Clinical Cases’, Barcelona, Spain, May 2008.
  • Award winner. Euro PCR 07. “Percutaneous Closure of an Ascending Aorta Pseudo-Aneurysm by an AmplatzerTM Septal Occluder’. Third prize. Barcelona, Spain, May 2007.
  • Best Speaker. Mumbai Medical Congress, April 1997.
  • National Talent Search Scholar. June 1987.

For Consultation please email to enquiries@wockhardthospitals.net
To Fix an Appointment call : 022-67994121 and 022-67994123

14 year Old Teenager from Uganda Gets a New Life at Wockhardt Hospitals

Thursday, June 18, 2009



A 14 year old girl from Uganda who came to India with a dilating heart showing signs of heart failure has undergone a complicated open heart surgery at Wockhardt Hospitals. The cardiac team at Wockhardt Hospitals led by Dr. Vivek Jawali, Chief Cardio Thoracic Surgeon performed risky and complicated open heart procedure to replace the mitral valve, repair a leaking tricuspid valve and maze procedure to correct her abnormal heart rhythm.

Abigail Kanyonyozi was brought to Wockhardt Hospitals when she was on the brink of heart failure. Abigail was diagnosed to have a blood cancer called acute myeloid leukaemia in 2000 and Lynda’s saga of her fight for her daughter began. Abigail had undergone a prolonged and expensive treatment in South Africa for her blood cancer. This led Lynda (her mother) exhaust her all finances to bring Abigail back to normal life. After few years of fully recovering from her blood cancer Abigail was diagnosed with heart disease called dolurebecin cardio myopathy which dilates the heart resulting in cardiac failure.

Dr. Vivek Jawali, Chief Cardio Thoracic Surgeon, Wockhardt Hospitals said, “On further examination it was found that the child had a heavy heart and was suffering from rheumatic heart disease (a condition in which permanent damage to heart valves is caused by rheumatic fever), with severe leakage of her heart valves – mitral and tricuspid valve (a valve located between the right atrium and the right ventricle). The leakage had caused stretching of the heart and irregular heart rhythm called Atrial Fibrillation (AFib) which was primarily contributing to her heart failure. Her condition was very critical and immediate surgery was the only option to save the child.” Abigail had to undergo a complex and prolonged surgery which involved replacement of her mitral valve, repairing of tricuspid valves and a complicated maze operation to correct her heart rhythm.

The surgery was successfully performed and the heart was contracted to a great extent. Abigail was no longer suffering from breathlessness and body swelling and her heart was strongly beating. “The child can now live a robust life adds DR. Jawali”. Abigail was discharged from the hospital within a week’s time post her surgery.

Atrial fibrillation is a condition where the speed or rhythm of the heart beat is affected due to a disorder in the hearts electrical impulses. The heart may beat too fast or too slow or it may vary in pace as the hearts upper and lower chambers beat out of sequence.

About Doctor Vivek Jawali:Dr.Vivek Jawali is the pioneer of minimally invasive cardiac surgery in India. Dr Jawali performed India's first minimally invasive bypass surgery and also performed India's first awake bypass surgery on a fully conscious patient without general anesthesia or ventilator, using the technique of continuous high thoracic epidural analgesia.

Dr Jawali performed the world's first awake open heart surgery, which involved an aortic valve replacement with a triple bypass on a 74-year-old patient. He has many indexed publications and the world's highest experience on this procedure. Click here To know more about Dr Vivel Jawali and to schedule and appointment with him,or email us at enquiries@wockhardthospitals.net to schedule and appointment with Dr Jawali

5 Kinds of Pains You Should Never Ignore


While covering the Iraq War as an embedded journalist ,NBC reporter David Bloom who was with the US Marines, began to feel a sudden pain behind his knee. He reportedly sought out medical advice by satellite phone, However he decided not to follow the advice which were on the lines of "Go to a doctor". However he popped a few aspirin, and kept right on going. Three days later, Bloom died of a pulmonary embolism caused by DVT( deep-vein thrombosis). He was only 39.

Most of us tend to take a pain very lightly unless it keeps on re-appearing and affects our life style or work. However according the Mens Health Magazine,their are a few kinds of pain which should never be taken lightly, and medical intervention should be sought immediately
Severe Back Pain

The condition: "If it's not related to exercise, sudden severe back pain can be the sign of an aneurysm," says Sigfried Kra, M.D., an associate professor at the Yale school of medicine. Particularly troubling is the abdominal aneurysm, a dangerous weakening of the aorta just above the kidneys.A less threatening possibility can be also of a kidney stone.

A CT scan using intravenous radiopaque dye does the best job of revealing the size and shape of an aneurysm. Once its dimensions are determined, it'll be treated with blood-pressure medication or surgery to implant a synthetic graft.

A pain in The Foot or Shine

A nagging pain in the top of your foot or the front of your shin that's worse when you exercise, but present even at rest and even ibuprofen and acetaminophen does not seem to be having a difference

These kinds of pain are probably a stress fracture. Bones, like all the other tissues in your body, are continually regenerating themselves. "But if you're training so hard that the bone doesn't get a chance to heal itself, a stress fracture can develop," explains Andrew Feldman, M.D., the team physician for the New York Rangers. Eventually, the bone can be permanently weakened.

Sharp Pain in the Abdomen:Since the area between your ribs and your hips is jam-packed with organs, the pain can be a symptom of either appendicitis, pancreatitis, or an inflamed gallbladder. In all three cases, the cause is the same: Something has blocked up the organ in question, resulting in a potentially fatal infection. Exploding organs can kill a guy. See a doctor before this happens.

Transient Chest Pain

The condition could be indigestion. Or it could be a heart attack. "Even if it's very short in duration, it can be a sign of something serious,

A blood clot may have lodged in a narrowed section of a coronary artery, completely cutting off the flow of blood to one section of your heart.

How much wait-and-see time do you have? Really, none. Fifty percent of deaths from heart attacks occur within 3 to 4 hours of the first symptoms. You're literally living on borrowed tim

Leg Pain with Swelling

Specifically, one of your calves is killing you. It's swollen and tender to the touch, and may even feel warm, as if it's being slow-roasted from the inside out.

Leg Pain with Swelling :if you sit in one place for 6 or more hours straight without taking a talk with taking time out,then you wait for the blood that pools in your lower legs to form a clot ( deep-vein thrombosis, or DVT). This would be big enough to block a vein in your calf, producing pain and swelling.

Unfortunately, the first thing you'll probably want to do—rub your leg—is also the worst thing. "It can send a big clot running up to your lung, where it can kill you," warns Doctors

Painful Urination :A painful Urination can be in the worst cases a sign of bladder cancer. specially for Men .According to Joseph A. Smith, M.D., chairman of the department of urologic surgery at Vanderbilt University, "The pain and the blood in your urine are symptoms of this, the fourth most common cancer in men."

Smoking is the biggest risk factor. Catch the disease early, and there's a 90 percent chance of fixing it. Bladder infections share the same symptoms.


disclaimer: This is a part of patient education series and may not represent Wockhardt Hospitals or their Doctors Views. These views are taken from MensHealth Magazine

Doctor Spotlight : Dr Latha Venkatraman

Wednesday, June 17, 2009


Dr. (Padma) Latha Venkataram
FRCOG (UK), MRCPI (Dublin)
Consultant Obstetrician and Gynaecologist

Dr. Latha Venkataram specially qualified and trained in OBG and Medicine, has an extensive experience in Medical disorders in Pregnancy (high risk) both in United Kingdom and Bangalore, India. She is currently the senior OBGYN specialist and Chief Co-coordinator, Department of OBGYN, Wockhardt Hospital, Bangalore.

Dr. Latha Venkataram got MRCOG (United Kingdom, 1992) and MRCPI (Dublin, 1994) and was awarded the fellowship of RCOG, FRCOG. She has been academically very sound and was a meritorious student throughout her education, obtained highest marks in medicine for the university and was awarded the best outgoing student award from Bangalore Medical College.

Dr. Latha is one of the first to have combined clinics for medical disorders in pregnancy like Diabetes & Pregnancy clinic, Recurrent pregnancy loss clinic, etc in Bangalore. She has initiated skill training in emergency Obstetric care, which is a very successful ongoing program for doctors through Bangalore RCOG Trust and Bangalore Society of Obstetricians & Gynecologists.

She has held many executive posts including President, Bangalore Society of OBGyn and she is presently the secretary for Bangalore RCOG trust.

She is associated with several organizations both rural and urban projects promoting quality care, targeting Maternal Mortality. She is actively involved in establishing the efficacy of Yoga and other Alternate systems of medicine in the treatment of OBGyn related problems. She has to her credit papers published in International indexed journals. Currently she is guiding Doctoral candidates in the field of Yoga and pregnancy.

She has special interest in Obstetric intensive care and emergency Obstetric care and has treated many patients who are critically ill. Her main interest in the field of Gynaecology is vaginal surgeries and has skill and experience in removing large Uteri vaginally.

To set up an appointment with Dr Latha. Kindly email us at enquiries@wockhardthospitals.net

Minimal Access Spine Surgery Perfomed by Doctors at Wockhardt Hospitals,Kalyan

Tuesday, June 16, 2009

Wockhardt Hospitals, Kalyan successfully performed a revolutionary minimally invasive spine surgery - Percutaneous Endoscopic Lumbar Discectomy (PELD) on a 49-year-old man suffering from severe backache.

Truly a minimally invasive spinal surgery, the procedure known as PELD was performed with a single 0.6 cm incision using a technically evolved Yeung endoscopic spine system (YESS) method under local anaesthesia. The PELD Technique is known to be an innovative spine procedure that can help appropriately screened patients recover faster without scars or stitches and more importantly, helps patients walk immediately after the procedure without any pain.

The patient, Sunil Ghag, was suffering from acute back pain as a result of prolapsed inter-vertebral disc, more commonly known as slipped disc. With the severity of the pain only increasing with time, conservative treatment with non-steroidal anti-inflammatory drugs (NSAID) and intermittent pelvic tractions was of little help, forcing him to seek surgical intervention.

An MRI confirmed the prolapsed disc, revealing disc degeneration. "The patient had two options," recalls Dr Vikas Gupte, consultant spine surgeon, Wockhardt Hospitals. "He could either opt for the conventional open discectomy, or the minimally invasive PELD under local anaesthesia." The patient was convinced about going for it as the chances of root injuries were minimal with PELD, promising immediate normalcy and discharge from the hospital.

As Dr Gupte explains, "In the PELD procedure, the patient is made to lie prone on a special operation table and the exact entry point is mapped on the patient's body using image intensifier x-ray system. A long spinal needle is then passed from the side of the back which goes into the disc directly by-passing other bone and ligaments. Through this needle, a guide wire is passed and after making a 6mm incision under local anaesthesia, a dilator and working cannula are passed through the incision. The camera and the monitor are attached to an endoscope that is passed through the incision and the prolapsed part of disc is removed under vision. Advanced instruments like radio-frequency and laser machine are used for such surgery. The surgery lasted for 40 minutes and the wound was closed with a single stitch."

Dr Deepu Banerjee, Neurosurgeon, Wockhardt Hospitals points out that the instrumentation using YESS technique consists of a 6 mm scope that facilitates direct view of the disc fragments in the spine thus minimizing muscle, ligament and tissue damage, while alleviating chances of nerve root injury. "Even the nerve roots are clearly visible through the powerful camera of the Yeung endoscope," he added.

Post-op, the patient was able to walk without any pain and was discharged after 24 hours. According to experts, PELD with YESS technique is the ultimate form of minimal invasive spine surgery in appropriately screened patients.Justify Full

The Real Truth of Rashmi BT Story at Wockhardt Hospitals

Sunday, June 14, 2009

This Post is in response in connection with the story of Rashmi BT's experience at Wockhardt hospitals. While we are firmly behind her at this time of extreme grief as an institution we thought it appropriate to bring it to the public domain our version of the real story at wockhardt Hospitals and what we believe actually happened The below post gives you the complete details of the case and the facts have been clearly explained down before everyone

However in case anyone of you does not have the time to go through the same in detail we would like to let you know that Wockhardt Hospitals had followed all the necessary medical protocols that any reputed institution across the globe would have followed. We have always tried to question the limits to which medical science can progress and have been also largely responsible for the positive changes that the Indian healthcare industry has been witnessing in recent years. It is but unfortunate that certain risks in medicine cannot be completely mitigated how much ever one might strive.

Please do read our version and if you find it convincing forward the same to whoever you might think appropriate.

Reputations take a lifetime to build, is it right to destroy them without understanding true facts and make a hospital and its doctors look inhuman?


Ms. Rashmi B.T. was under the care of a senior gynaecologist in Bangalore for her second pregnancy. She made a conscious decision to shift under Dr. Latha Venkatram’s care at Wockhardt Hospitals, Bangalore in the 35th week of her pregnancy largely because she was aware that Vaginal Birth after Caesarian Section (VBAC) was an option and wanted to select that option for her second delivery. She had collected information that Dr. Latha Venkatram was one of the senior gynecologists in the city who offered this option to her patients. From the OPD records filed by Dr Latha Venkatram it is evident that Rashmi was counseled and given ample information about the procedure and the risks associated with it and she took an informed choice to select this procedure.

Vaginal Birth after Caesarian Section (VBAC) is the term used when a woman gives birth vaginally, having had a caesarian delivery in the past. Worldwide VBAC, if possible, is being recommended and preferred over repeat C-Sections as its advantages substantially outweigh the disadvantages. According to the Royal College of Obstetricians and Gynaecologists patient information guideline 2008 “Birth after previous Caesarian Section”, overall three out of four women with an uncomplicated pregnancy would give birth vaginally following one caesarian section delivery. The short-term and long term complications inherent in a C-Section make it preferable that a woman is offered the choice of a VBAC. The US Federal Government in its healthy people report 2010 proposed a target for VBAC of 37%.
Repeat Caesarian Sections are associated with:

o A possibly more difficult operation
o Longer recovery period
o Possibility of injury to bladder or bowel
o Possibility of blood clots developing in legs and pulmonary thrombosis
o Breathing problems for the baby. Higher in C-Section than in VBAC
o Serious risks increase with every Caesarian delivery
o Higher chance of infection
o Future complications for the mother who has had repeated opening of the abdomen
o Higher costs

VBAC has a shorter stay in the hospital, faster recovery as well as lower cost for the patient. There is a risk of uterine rupture but this risk is approximately 0.5%. In spite of this risk the benefits of VBAC far outweigh the risks.

As in all medical procedures there is no way to predict which patient would fall under the 0.5% risk of uterine rupture or any way by which this rupture can be prevented. A VBAC delivery is more demanding of the gynaecologist, as it takes 6-8 hours as compared to a C-Section, which in a planned fashion would be over in less than 40-45 minutes. Also the mother and child need close monitoring it is estimated that one will have to do as many as 200+ unnecessary C-Sections to prevent the occurrence of 1 uterine rupture. In most cases a uterine rupture is not fatal. However in the best interest of Ms Rashmi, Latha Venkatram gave her both the choices and Ms Rashmi chose to opt for the VBAC option.

Ms. Rashmi B.T. was a fit candidate for a VBAC. She had a breech presentation (where the legs of the baby present itself first instead of the head at the time of delivery) in the earlier pregnancy which required a C-Section. A breech presentation in the earlier pregnancy which necessitated a C-Section is in fact an indication to offer a VBAC to the patient in the subsequent pregnancies.

An age of 35 is not a contraindication to a VBAC. The fact that she was 5 days past her due date was also not a contraindication to a VBAC because less than 5% of patients deliver on their due date.

During her antenatal visits to Dr. Latha Venkatram, Ms Rashmi B.T. was explained in detail about the pros and cons of VBAC and she agreed to undergo the procedure. The OPD case records have these notations. She was also clearly informed by Dr. Latha Venkatraman that she works along with Dr. Prabha Ramakrishna as a team and either of them would be present during her delivery. Doctors particularly in the area of obstetrics frequently prefer to work as a team since many times an emergency may hold one of them which would make it possible for the other team member to attend to the delivery as the date and time of delivery cannot be predicted. In a VBAC considering that a consultant needs to be around for most of the labor period it is prudent that a team takes care of the patient. Both Consultants of the team Dr. Latha Venkatram and Dr. Prabha Ramakrishna are Fellows and Members of the Royal College of Obstetricians UK respectively.

Ms Rashmi B.T was admitted to the hospital early morning on the 4th of March 2009 in spontaneous labour. She was connected to monitors for a close monitoring of both maternal and fetal parameters. She was visited by Dr. Latha Venkatram soon after admission. An experienced nurse and a fully qualified gynaecology registrar were monitoring her constantly. The Consultant Dr. Prabha Ramakrishna was also available on the same floor and repeatedly examined her. She was kept informed about the progress of the labour.

The labour progressed normally until 1.50 p.m when a sudden decrease in the fetal heart rate was noted (fetal bradycardia). The tracings before 1.50 p.m were normal. The moment fetal bradycardia occurred, the consultant Dr. Prabha Ramakrishna who was on the same floor was called in by the gynecology registrar. When Dr. Prabha Ramkrishna examined Ms Rashmi, the baby’s head position was a little high. She was asked to push to see if the baby’s head would come to +2 position in which case she could do a forceps in the labor room itself and deliver the child. When the baby’s head did not descend as required she asked for the patient to be shifted to the Operating room. After this Ms.Rashmi was not asked to bear down any further.

Shift to the OT was rapid since the dedicated Operation Theatre for Caesarian sections is situated within the labour room complex and this theatre is not used for any other procedure. Within 7-8 mins the patient was in the theatre. The anesthetist had a choice of going in for an emergency general anesthesia which has inherent risks for a pregnant woman or to go in for epidural anesthesia. Since the patient was already receiving pain medication (epidural analgesia) it was decided that for the safety of the mother increasing this analgesia to achieve anesthesia was the preferred option. In the OT the fetal heart rate was recorded as 180 b.p.m on the Doppler. On the OT table an examination was done and it was found that the head had receded and a forceps delivery was not attempted. An immediate emergency C-section was then performed.

The anesthetists, Neo-natologists and the surgical nursing team had assembled in the theatre within a few minutes of the emergency being declared. The hospital has full- time anesthetists, Neo-natologists and a surgical nursing team working round the clock to attend to all kinds of medical emergencies.

At the time of birth the baby did not have a heart beat or respiration. Resuscitation was started and the heart beat started about half a minute later. The child was immediately shifted to the Neonatal ICU and put on the ventilator. The baby’s weight at birth has been recorded in the NICU as about 3 Kg. The only reason an exact weight could not be taken in the NICU was that the child was already attached to various lifesaving equipments and the neonatologist had to make the closest estimate. However it must be noted here that a birth weight of 4 Kg is not a contraindication for a VBAC.

In the neonatal ICU the clinical team met the family on a daily basis and kept them informed about the status of the baby and the prognosis. The poor prognosis was explained to the parents on the 2nd day itself. An opinion from an external eminent neonatologist was also sought who concurred with the poor prognosis. All decisions regarding further care were made only after extensive discussions with the parents of the baby. Dr.Prakash Vemgal our Neo-natologist is not only highly experienced but has also gone through some of the highest training in Neo- natology in high patient volume and reputed international centres.

The doctors and the management (including senior management personnel) of the Wockhardt Hospitals group spent long hours with the parents understanding and trying to address their concerns. As is the normal practice in such a case a complete internal review was done. The family sent to us a detailed list of areas they wanted us to look into during our investigation. We did go into each of these areas and sent them a detailed reply addressing most of these issues including taking the opinion of two leading and senior external gynecologists of the city who do substantial VBAC work. It is unfortunate to note that inspite of providing her all clarifications Ms Rashmi has been projecting an extremely poor image of Dr. Latha Venkatram and the hospital.

Our internal review involved discussions with our own team of gynaecologists, meetings with two external gynaecologists who practice VBAC and the entire clinical care team. Our findings after this detailed internal review are summarized below.

a. Ms Rashmi BT was a fit candidate for a VBAC. She would have been offered this procedure as a first choice by any gynecologist or hospital which practices advanced obstetrics anywhere in the world. Her age or the week of pregnancy were not contraindications to go in for a VBAC.
b. She had made a conscious and informed decision about going in for a VBAC. She had changed her senior gynecologist whom she was consulting until the 35th week of her pregnancy primarily because that gynaecologist was not in a position to offer VBAC.
c. The OPD case notes of which she was given the duplicate copy recorded that she was willing for VBAC and she was informed about all risks of her decision.
d. Both the mother and the child had been monitored carefully right through the labour
e. All medications used for progressing labor were prescribed agents and safe for use in VBAC
f. She did have a uterine rupture which in VBAC carries a risk of 0.5%. This rupture could in no way be predicted or prevented. In spite of the rupture the gynecology team was able to save the uterus for future child bearing.
g. The Operation theatre was ready at the time it was required.
h. All the staff were present in the Operation Theatre within a few minutes of the emergency being declared
i. While the baby was in the NICU Dr.Prakash Vemgal the head of Neo-Natology met up with the parents at regular intervals and kept the family clearly informed about the status and prognosis. All major decisions were taken only after discussion with the parents.
j. Senior management of the organization met up with the family on multiple occasions to understand and address their concerns

A minute by minute account of her story as is being spread through the various emails circulated by various people who were neither physically present during her admission to the hospital nor were involved in her care process exhibits to us a determined effort to harm the reputation of the gynecologist and the hospital without having any understanding of the clinical facts of the case.

Is medicine now going to be judged through the lens of only opinions running across chain mails or through the untiring efforts of institutions and doctors which toil endlessly to save lives but remain spectators to their actions being judged by emotive outbursts?

We do understand the pain and suffering of Ms Rashmi BT. As a hospital every life is precious to us but we are also are in the world of medicine where unfortunate rare complications can be counteracted but every procedure cannot be made risk free. There are many lives which we save each day when all has been given up and each such case teaches us that to pursue medicine is to pursue the limits of the unknown but does that mean that we become victims of public misinformation

We have taken all necessary care and followed every medical protocol that any reputed institution across the globe would have followed. However it is unfortunate that even though Ms Rashmi has not been a victim of any medical negligence she has chosen by this random spread of irrational mails to use a redressal system that is purposely harming the reputation of Dr Latha Venkatram, Dr.Prabha Ramakrisha and our institution.We will not stand to be mute spectators to this form of intentional disreputation.

The case can be subjected to analysis by any competent authority.

Congratulations Mr Mundhra For Completing 5km Run after 10 Months of Getting Both His Knees Replaced

Saturday, June 13, 2009

Another of the many reasons why our Guests continue to trust in us and our medical pedigree. Another reason for us to continue to meet expectations for more than a million people .. because at Wockhardt Hospitals we not only treat patients..but we put them back into their lives.

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